Whitney M. Young Jr. Health Center, Inc. | |
10 Dewitt Street Whitney M. Young Jr. Health Center, Inc. Albany NY 12207-1300 | |
(518) 465-4771 | |
(518) 320-3022 |
Full Name | Whitney M. Young Jr. Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 10 Dewitt Street, Albany, New York |
Authorized Official Name and Position | Donna Connors (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5184654771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Whitney M. Young Jr. Health Center, Inc. 920 Lark Dr Albany NY 12207-1300 Ph: (518) 465-4771 | Whitney M. Young Jr. Health Center, Inc. 10 Dewitt Street Whitney M. Young Jr. Health Center, Inc. Albany NY 12207-1300 Ph: (518) 465-4771 |
NPI Number | 1942660105 |
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Provider Enumeration Date | 03/02/2016 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 6507830031 |
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Medicare Enrollment ID | O20170622001830 |
Identifier | Type | State | Issuer |
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1942660105 | NPI | - | NPPES |
331807 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |